Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $58.88 / $223.87	Facility		$38.02	$58.88	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $51.29	Professional		$28.84	$33.88	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $112.20	Facility		$38.02	$38.02	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $38.02	Professional		$18.62	$18.62	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.02 / $48.98	Facility		$30.20	$38.02	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $45.71	Professional		$24.55	$38.02	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $75.86	Facility		$25.12	$38.02	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $85.11	Professional		$19.05	$26.92	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $38.02 / $38.02	Facility		$16.98	$38.02	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $38.02	Professional		$15.85	$22.91	$38.02